Lopez Psychiatry

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LOPEZ PSYCHIATRY

Practice address

11309 Distinctive Dr
Orland Park, IL 60467-9490

Phone

(312) 779-0920

NPI assigned

Jun 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kimberly Lopez, DNP, CNP, FPA-APRNNPI 1477144020

Title

Ceo

Phone

(312) 779-0920

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Lopez, DNP, CNP, FPA-APRN

  • Family Nurse Practitioner
  • Tinley Park, IL
  • NPI 1477144020
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1750123113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16036 84TH PL",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11309 DISTINCTIVE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679490",
            "telephone_number": "312-779-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPEZ PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-779-0920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CNP, FPA-APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309016898",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Tihia Lockhart
• Veronica Lode, RDN
• Logan & Associates Counseling Services PLLC
• Lana Yael Logan, LCPC
• Tiffany A Longo, PA-C
• Maryam Lopez, APRN, CNP
• Migdalia Lopez
• Lori Leipold DO
• Lotus Healing and Wellness Center LLC
• Louis N Korompilas DDS PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.